Organization
92270 SURGERY CENTER
Active
Other names
90210 SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENATO CALABRIA MD., (OWNER)
(760) 836-0077
Entity
Organization
Contact information
Practice address
71-511 HWY 111, SUITE E, RANCHO MIRAGE, CA 92270
(760) 836-0077
(760) 836-0067
Mailing address
71-511 HWY 111, SUITE E, RANCHO MIRAGE, CA 92270
(760) 836-0077
(760) 836-0067
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A43041
CA
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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